Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice

Emmy Hoefman; Henk C. P. M. van Weert; Kimberly R. Boer; Johannes Reitsma; Rudolph W. Koster; Patrick J. E. Bindels

doi:https://doi.org/10.1093/fampra/cml065

Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice

Emmy Hoefman, Henk C. P. M. van Weert, Kimberly R. Boer, Johannes Reitsma, Rudolph W. Koster, Patrick J. E. Bindels

Research output: Contribution to journal › Article › Academic › peer-review

25 Citations (Scopus)

Abstract

BACKGROUND: Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary

Original language	English
Pages (from-to)	11-13
Journal	Family Practice
Volume	24
Issue number	1
DOIs	https://doi.org/10.1093/fampra/cml065
Publication status	Published - 2007

Access to Document

https://doi.org/10.1093/fampra/cml065

Cite this

@article{e6b49dbc21eb49f5bc22b2d4e475d5d3,

title = "Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice",

abstract = "BACKGROUND: Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary",

author = "Emmy Hoefman and {van Weert}, {Henk C. P. M.} and Boer, {Kimberly R.} and Johannes Reitsma and Koster, {Rudolph W.} and Bindels, {Patrick J. E.}",

year = "2007",

doi = "https://doi.org/10.1093/fampra/cml065",

language = "English",

volume = "24",

pages = "11--13",

journal = "Family Practice",

issn = "0263-2136",

publisher = "Oxford University Press",

number = "1",

}

TY - JOUR

T1 - Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice

AU - Hoefman, Emmy

AU - van Weert, Henk C. P. M.

AU - Boer, Kimberly R.

AU - Reitsma, Johannes

AU - Koster, Rudolph W.

AU - Bindels, Patrick J. E.

PY - 2007

Y1 - 2007

N2 - BACKGROUND: Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary

AB - BACKGROUND: Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary

U2 - https://doi.org/10.1093/fampra/cml065

DO - https://doi.org/10.1093/fampra/cml065

M3 - Article

C2 - 17158181

SN - 0263-2136

VL - 24

SP - 11

EP - 13

JO - Family Practice

JF - Family Practice

IS - 1

ER -